Evolution of Stroke Evaluation

Question 1

Why do intra arterial thrombolysis?

Answer 1

Persistent obstruction = persistent or worsening deficit
Increase the therapeutic window
Contraindications to systemic lytic therapy
Reduce hemorrhagic complications
Mechanical disruption of the thrombus

Question 2

What are the different scans you need for a stroke?

Answer 2

Non contrast CT
CT angiogram
Post intervention scan
CT follow up